一项采用标准化痛苦测量方法的试点研究表明,污染检查的水平更高
Allison M Lastinger1, Matthew S Lokant1, Benjamin Giertych2
1Department of Medicine, West Virginia University, Morgantown, WV, USA.
Arthroplasty today
|January 11, 2024
概括
患有假肢关节感染 (PJI) 的患者经历的痛苦明显高于那些接受无菌修复的患者. 对痛苦的查对于全面的PJI护理和改善患者结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 心理医学 心理医学
背景情况:
- 针对假肢关节感染 (PJI) 患者的多学科诊所反映了癌症护理模式.
- 国家综合癌症网络的应急温度计 (DT) 是一个验证的工具来评估患者的痛苦.
- 这项研究建议为PJI患者调整DT,以量化他们的心理负担.
研究的目的:
- 评估应急温度计 (DT) 在评估假肢关节感染 (PJI) 患者的心理应急时的实用性.
- 为了比较PJI患者的痛苦水平与那些接受无菌修复手术的人.
- 确定PJI管理中需要紧急选的需要.
主要方法:
- 一项回顾性试点研究分析了两年来来自合并骨科传染病诊所的患者.
- 患者填写了一个问卷和一个修改后的应急温度计 (DT).
- 来自PJI组的DT得分与匹配的无菌对照组进行了比较.
主要成果:
- 与无菌组 (n=40,3.33 ±2.06;P <.0001) 相比,PJI组 (n=122) 报告了显著更高的平均DT得分 (6.18 ± 3.2).
- 超过75%的PJI患者在DT上得分≥4,表明需要支持.
- 21%的PJI患者报告极度痛苦 (DT得分≥10),而无菌组没有.
结论:
- 假肢关节感染 (PJI) 患者的痛苦水平明显高于无菌修复患者.
- 临床关注和系统的痛苦测量是PJI患者护理所必需的.
- 实施应急查可以增强综合护理,潜在地改善PJI治疗的合规性,结果和资源配置.
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